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1124730791
SHANERHA TATE
PHILADELPHIA, PA
NPI
1124730791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: PA SP026420)
Enumeration Date
2022-12-15
Last Update Date
2022-12-15
Business Address
Ms. SHANERHA TATE CRNP, WHNP-BC
5800 WALNUT ST
PHILADELPHIA, PA 19139-3836
Phone number: 215-474-4444
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Mailing Address
Ms. SHANERHA TATE CRNP, WHNP-BC
504 S LANSDOWNE AVE APT E7
LANSDOWNE, PA 19050-2427
Phone number: 267-368-0063
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